The aim of this deliverable is to conceptually model and empirically test the response of biota to the effects of both hydromorphological pressures acting in concert with one another or with other types of pressures. Best use is made of existing large national monitoring datasets (Denmark, UK, Finland, France, Germany, Austria & WISER datasets), case studies and modeling to provide evidence of multiple stressors interacting to alter river biota (Biological Quality Elements: BQE).